Concho County Rural Health Clinic
Organization Active NPI Rural Health Clinic/Center · Eden, TX
NPI 1972678142 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1972678142
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- CONCHO COUNTY RURAL HEALTH CLINIC
- Practice address
- 13 South Main Street
Eden, TX 76837-0987 - Phone
- (325) 869-8811
- Fax
- (325) 869-8899
- NPI assigned
- Nov 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Dudley White
- Title
- Administrator
- Phone
- (325) 869-5911
Practitioners 2
-
Robert Otto Martin, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
13 South Main Street
Eden, TX 76837-0987
Mailing address
13 South Main Street
P.O. Box 987
Eden, TX 76837-0987
Phone (325) 869-8811
Other providers in Eden, TX
- Concho County Hospital District
- Concho County Hospital District
- Concho County Hospital District
- Concho County Hospital District
- Concho County Hospital District
- Eden EMS Inc
- Eden Medical Clinic PA
- Joseph L Feldhaus
- Frontera Healthcare Network
- Frontera Healthcare Network
All providers in Eden, TX · Rural Health Clinic/Center in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.